Healthcare Provider Details

I. General information

NPI: 1992037931
Provider Name (Legal Business Name): CHRISTOPHER ALAN ROKES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 PLEASANT ST. SUITE 306
DES MOINES IA
50309-1453
US

IV. Provider business mailing address

1215 PLEASANT ST. SUITE 306
DES MOINES IA
50309-1453
US

V. Phone/Fax

Practice location:
  • Phone: 575-241-8912
  • Fax: 575-241-8988
Mailing address:
  • Phone: 575-241-8912
  • Fax: 575-241-8988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number38763
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number38763
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: